| NPI | 1518319185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 2664) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2814) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-08-03 |